| NPI | 1457638082 |
|---|---|
| Doing Business As | O.S. OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MADELLINE COLLAZO System Director Of Pharmacy Se 228-818-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 09222/ 1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2014-10-01 |